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目的探讨血液透析、降压药物治疗对维持性血液透析患者高血压的降压效果。方法对45例维持性血液透析患者高血压患者,进行血液透析、降压药物治疗,并观察其疗效。结果6例达干体重而使血压正常,15例使用一种降压药物、21例使用二种或二种以上降压药物可使血压达标(血压<140/90 mm Hg),3例经上述治疗血压有所下降但仍不能达标。结论充分透析可有效降压,钙离子拮抗剂、血管紧张素转换酶抑制剂、血管紧张素Ⅱ受体拮抗剂、β受体阻滞剂、α肾上腺能受体阻断剂、作用于中枢的药物均可作为血液透析患者高血压的降压药物。
Objective To investigate the antihypertensive effects of hemodialysis and antihypertensive drugs on hypertension in maintenance hemodialysis patients. Methods 45 cases of hemodialysis patients with hypertension, hemodialysis, antihypertensive drugs, and observe its efficacy. Results The blood pressure was normal in 6 cases of up to dry weight, 15 cases used one kind of antihypertensive drugs, 21 cases used two or more kinds of antihypertensive drugs to make blood pressure standard (blood pressure <140/90 mm Hg) Treatment of blood pressure decreased but still not up to standard. Conclusions Adequate dialysis can effectively depressurization, calcium antagonists, angiotensin converting enzyme inhibitors, angiotensin Ⅱ receptor antagonists, β-blockers, α-adrenergic receptor blockers, acting on the central Drugs can be used as antihypertensive drugs for hemodialysis patients with hypertension.